Korean J Clin Neurophysiol.  2015 Dec;17(2):73-75. 10.14253/kjcn.2015.17.2.73.

Takotsubo Cardiomyopathy Associated with Guillain-Barre Syndrome

Affiliations
  • 1Department of Neurology, Jeju National University School of Medicine, Jeju, Korea. neurokang@jejunu.ac.kr

Abstract

A 69-year-old woman presented with a progressive limb weakness. Both clinical and neurophysiological findings were consistent with diagnosis of Guillain-Barre syndrome (GBS). Two days after admission, the patient suffered from an acute coronary syndrome without stenosis at coronary arteriography. Echocardiography revealed left ventricular inferior wall and apical akinesia and decreased ejection fraction. A diagnosis of Takotsubo cardiomyopathy was then made. Left ventricular dysfunction and electrocardiography normalized within one month. Takotsubo cardiomyopathy can be developed as a complication of GBS.

Keyword

Guillain-Barre syndrome; Heart failure; Takotsubo cardiomyopathy

MeSH Terms

Acute Coronary Syndrome
Aged
Angiography
Constriction, Pathologic
Diagnosis
Echocardiography
Electrocardiography
Extremities
Female
Guillain-Barre Syndrome*
Heart Failure
Humans
Takotsubo Cardiomyopathy*
Ventricular Dysfunction, Left

Figure

  • Fig. 1. Standard 12-lead electrocardiogram and coronary arteriography of the patient. (A) EKG showed negative T wave in anterolateral leads on the 2nd hospital day. (B) EKG abnormality disappeared on the 3rd hospital day. (C) Coronary arteriography showed normal coronary artery.


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